With her radical leftist views on same sex marriage and opposition to the Republican Party’s platform position on abortion, the only thing worse than having John McCain in the Senate would be for Governor Doug Ducey to appoint his liberal wife Cindy to succeed him.

The struggle is between those who want to work to stabilize Obamacare in the face of rising premiums and insurer exits and others who would like to take another shot at a repeal or overhaul bill. The Senate was unable to reach a 50-vote threshold to pass an overhaul bill through reconciliation, and next year the Senate has a lower margin of error with only a 51-seat majority.

On Monday a group of forty-four conservative leaders issued a letter to Congress demanding that Capitol Hill's Republican majority make good on their campaign promises to cut wasteful spending, rebuild our national defense, stop amnesty, build the wall and finally repeal Obamacare. You can add your signature to the letter by clicking this link.

Forty-four conservative leaders, including CHQ Chairman Richard A. Viguerie, wrote to the GOP Congress telling them the American people took seriously their campaign promises. They should cut wasteful spending, rebuild our national defense, stop amnesty and finally repeal Obamacare.

The 115th Congress is among the oldest in history; 18 of the 33 Senators running for reelection in 2018 will be 65 or older, but we think Congress is failing not because it suffers ill effects from aging, but because it suffers from senility of purpose and principles.

The bill, sponsored by Tennessee Republican Phil Roe and California Democrat Raul Ruiz, both of whom are physicians, would repeal the Independent Payment Advisory Board (IPAB), the unelected rationing board that Sarah Palin famously dubbed the “death panel.” And, unlike the Obamacare bailouts cobbled together by Senator Alexander and his accomplices, there is genuine bipartisan support for this legislation.

While fundraising support for the Republican establishment is drying-up due to the failure of Capitol Hill’s Republican leaders to produce on their campaign promises, two of the most promising Republican outsiders, Indiana’s Mike Braun and Wisconsin’s Leah Vukmir, are reporting record-breaking support.

“I think major donors are tired of writing checks to a do-nothing Congress,” Roy Bailey, an influential, Dallas-based GOP donor told POLITICO, and he's not the only one who has closed his wallet to the Republican establishment.

Vice President Pence's Chief of Staff Nick Ayers told a group of major donors to the RNC they should call members of Congress and tell them if they don't pass Trump's agenda "we’re recruiting opponents, we’re maxing out to their campaigns, and we’re funding super PACs to defeat all of you.”

For Obamacare repeal, there is life after September 30, 2017. However, there is no life for the GOP after November 6, 2018 if they have nothing to show on this issue by that time. The voters who gave them both houses of Congress will sit at home and eat popcorn while Republicans lose enough seats to make Chuck Schumer Senate Majority Leader. One hesitates to even contemplate what will happen in the House. Think 2006.

Given that straight repeal is apparently impossible for this Congress, Graham-Cassidy might be the next best thing. Why? Because allowing states to experiment with different health-care policies is the only thing that will drive down the cost of health insurance so more Americans can afford it.

The bill doesn't grant states enough leeway on regulation. For one thing, it ties regulatory waivers to the receipt of federal funds. This would make the waivers impotent the next time a Democrat wins the White House, making this faux-federalism. The urgency of replacing Obamacare cannot be understated. Give competitive federalism a chance; it's what the country's founders had in mind. It's urgent that senators improve this bill, then pass it.

Rep. Charles Dent a leader of the RINO Tuesday Group is retiring. Our take on the Tuesday Group is 1 down, 40 – 50 to go, they are each guilty until proven innocent by their votes, so primary them all.

It is very likely that Lamar Alexander and his Senate HELP committee will use the recommendations of governors like John Kasich as the basis for the inevitable proposal to bail out Obamacare. They are obviously determined to surrender to the Democrats on this issue, regardless of their promises to the voters during the last four election cycles.

We are all for the President’s tax reform principles, but we hope he understands that, like Obamacare repeal, the problem getting it passed isn’t the Democrats, it’s the establishment Republicans like Mitch McConnell, Lindsey Graham and John McCain.